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SCHEDULE A: RECEIPTS <br />M.G.L. c. 55 requires that the name and residential address be reported, in alphabetical order, for all receipts over $50 in a calendar <br />year. Committees must keep detailed accounts' and records of all receipts, but need only itemize those receipts over $50. In addition, the <br />occupation and employer must be reported for all persons who contribute $200 or more in a calendar year. <br />(A "Schedule A: Receipts" attachment is available to complete, print and attach to this report, if additional pages are required to <br />report all receipts. Please include your committee name and a page number on each page.) <br />Date Received <br />Name and Residential Address <br />(alphabetical listing required) <br />Amount <br />Occupation & Employer <br />(for contributions of $200 or more) <br />2/6/17 <br />Becky & Curt Barrentine <br />100 Bedford St <br />Lexington, MA 02421 <br />$100 <br />1/13/17 <br />Daniel Buse <br />6 Farm Rd <br />Lexington, MA 02420 <br />$100 <br />2/10/17 <br />Joan & Steve Clark <br />32 Baskin Rd <br />Lexington, MA 02421 <br />$100 <br />1/30/17 <br />Maryelene & William Dailey <br />114 Marrett rd <br />Lexington, MA 02421 <br />$100 <br />1/2/17 <br />Linda Dixon <br />70 Fifer Lane <br />Lexington, MA 02420 <br />$75 <br />2/6/17 <br />David Horton <br />68 Paul Revere Rd <br />Lexington, MA 02421 <br />$100 <br />1/28/17 <br />William Kennedy <br />135 Wood St <br />Lexington, MA 02421 <br />$75 <br />2/6/17 <br />Margie & Dave Lager <br />2 Potter Pond Rd <br />Lexington, MA 02421 <br />$100 <br />2/14/17 <br />Sean Maloney <br />1 Wyman Rd <br />Lexington, MA 02421 <br />$200 <br />President, Arlex Oil <br />2/7/17 <br />Bob McDonald <br />5 Nickerson Rd <br />Lexington, MA 02421 <br />$150 <br />2/5/17 <br />Diane & Stu Taylo <br />136 East St <br />Lexington, MA 02421 <br />$100 <br />2/10/17 <br />Elizabeth Warren <br />9 Fulton Rd <br />Lexington, MA 02420 <br />$200 <br />Consultant, self - employed <br />Line 9: Total Receipts <br />over $50 (or listed above) <br />$1400.00 <br />F Enter on page 1, line 2 <br />Line 10: Total Receipts $50 and under* (not listed above) <br />$335.00 <br />Line 11: TOTAL RECEIPTS IN THE PERIOD <br />$1735.00 <br />* If you have itemized receipts of $50 and under, include them in line 9. Line 10 should include only those receipts not itemized above. <br />Page 2 <br />